ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A Questions
Question 1 of 5
A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?
Correct Answer: B
Rationale: In this scenario, the correct answer is option B) Amoxicillin-clavulanate. This choice is appropriate because it does not contain penicillin and is a suitable alternative for a child allergic to penicillin. Amoxicillin-clavulanate is a combination antibiotic that does not belong to the penicillin class, making it a safe option for the child in this case. Option A) Amphotericin B is an antifungal medication and is not typically used as an alternative to penicillin. Option C) Erythromycin is a macrolide antibiotic, which is also different from penicillin but may not be the most suitable alternative in this case. Option D) Gentamicin is an aminoglycoside antibiotic and is not related to penicillin, but it is not typically used as an alternative for penicillin allergy. In an educational context, understanding drug allergies and suitable alternatives is crucial for nurses to ensure safe and effective care for their patients. It is important for nurses to have a good knowledge of common drug classes, their indications, contraindications, and potential alternatives to provide optimal care for patients with specific needs or allergies.
Question 2 of 5
A nurse is preparing to discontinue a client's indwelling urinary catheter. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct first action the nurse should take when discontinuing a client's indwelling urinary catheter is to measure and document the urine in the drainage bag. This step is essential to assess the client's urinary output and bladder function before removing the catheter. Removing the tape securing the catheter (Choice B) or positioning the client supine (Choice C) should come after measuring and documenting the urine output. Deflating the catheter balloon (Choice D) is the last step in the process of removing the catheter.
Question 3 of 5
A nurse is teaching a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
Correct Answer: B
Rationale: The correct answer is B because cleaning the hearing aids with alcohol wipes can damage them. It is important to use specialized cleaning tools or follow specific cleaning instructions provided by the manufacturer to prevent harm to the hearing aids. Choices A, C, and D demonstrate good understanding and appropriate care for hearing aids, indicating that the client does not need further instruction in those areas.
Question 4 of 5
A client just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?
Correct Answer: B
Rationale: After a flexible bronchoscopy, it is essential to withhold food and liquids until the client's gag reflex returns. This precaution helps prevent aspiration, as the gag reflex protects the airway from foreign material. Irrigating the client's throat every 4 hours (Choice A) is unnecessary and may increase the risk of aspiration. Suctioning the client's oropharynx frequently (Choice C) can cause trauma and is not indicated unless there is a specific medical reason for it. Having the client refrain from talking for 24 hours (Choice D) is not necessary after a flexible bronchoscopy.
Question 5 of 5
A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: 2. To achieve the prescribed dose of 0.25 mg of digoxin, the nurse should administer two 0.125 mg tablets. This calculation ensures that the patient receives the correct amount of medication. Choices A, C, and D are incorrect because they do not reflect the accurate dosage needed based on the available tablets and prescribed dose.